MEDICARE: MS. LINDSEY ANNE MILES M.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1609065671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDSEY ANNE MILES M.A

Provider Business Mailing Address
First Line	:	1415 FLAG LN
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92021-3221
Country	:	US
Telephone Number	:	619-249-6361
Fax Number	:

Provider Business Practice Location Address
First Line	:	3914 MURPHY CANYON RD STE A227
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-4436
Country	:	US
Telephone Number	:	858-380-4669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	06/04/2025

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